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Assassination Records Review Board
Final Determination Notification

AGENCY : HSCA
RECORD NUMBER : 180-10068-10328
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :

December 8, 1995
Status of Document: Postponed in Part

Number of releases of previously postponed information: 5

Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual.

Number of Postponements: 4 -

Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

| Docid:3272432794 Page 1

, ' ae Date: 08/20/93
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JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM

AGENCY .
RECORD NUMBER

HSCA
180-10068-10328

RECORDS SERIES :
STAFF PAYROLL RECORDS

DOCUMENT INFORMATION

ORIGINATOR :
FROM :
TO :

HSCA —

TITLE :

DATE
PAGES

09/01/77
5

- SUBJECTS :
HSCA, ADMINISTRATION
CORNWELL, GARY T.

DOCUMENT TYPE

| PRINTED FORM
| CLASSIFICATION

> U
! RESTRICTIONS : 3
| CURRENT STATUS : P
: DATE OF LAST REVIEW : 07/07/93

OPENING CRITERIA :;

COMMENTS

| Box. #:1.

{R] ~- ITEM IS RESTRICTED
| NW 88326 oo
| Decld:322743294 Page 2


PAYROLL AUTHORIZATION FORM “

C} U.S. HOUSE. OF "REPRESENTATIVES. ) (Any erasures, corrections, or changes

Washington, D.C. 20515

(Please Use Typewriter. ©

or Ballpoint Pen) ‘authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

| Employee Name (First-Middle-Last) Effective Date |

Garv {, Cornell January 1. 1978

O1 Appointment

Employing Office or Committee/Subcommittee

Assassinations

30 Salary Adjustment
C1 Title Change

C1 Termination (At close of business on effective date)

0 Leave without pay (Beginning with effective date above and ending

close of business... _»§ = )
Specify Date

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)
Position Title Gross Annual Salary*

_ $44,500.06

* If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

i. 0 Standing Committee: Staff—CHi Clerical or 4 Professional.

3. 0 Joint Committee.

- (If Employee of an Officer of the House, complete item below.)

Position Number If applicable, Level_

Step_

| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of

relatives.
January 2 78
Date SRREY (97
, (Signature of Authorizing Official)
LOUES STORES
{If appropriate, signature of Subcommittee Chairman or Ranking Minority Member). Type or print nome of Authorizing Official)’ SSS
CHA TREMAN

(Type or print name and title of above official) (Title ~ If Member, District and State)
..All appointments and salary adjustments for employees under the House Classification Act. and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration. - ce

APPROVED:

Office of Finance use only:

|: Office Code

-. Copy for.Initiating Office or: Committee -

on this form must be initialed by the . -

:
: ;
aed Sy iat Nb “peat”

1 : . cas . . ’
ce ant os ee Ae ae

roe

te ctelee ede oe Vane aad DDL oat |

Employee Social Security Number Type of Action |.

oe eet the tas aad,

cet te ee tee ee

te ath . Se he aon
Sk ak Ea el ah i a pitt Shee! tate Ma

. Position Title

olf employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by-the employee
ue plus: the salary received from the employing office.

PAYROLL AUTHORIZATION FO" —_ . aa

- (Please Use Typewriter. Saf U. S. HOUSE. OF REPRESENTATIVES? (Any erasures, corrections;,. or changes .

Washington, D.C. 20515 .., 2. On this form must be initialed by the.

or Ballpoint Pen) - authorizing official.)

To the Clerk of the House of Representatives:

[hereby authorize the following payroll action:

~ Employee Name (First-Middle-Last) | etfective Date os

Cary fo Cornwall? Getobar 1, 1976

Employee Social Security Number 7

O Appointment

pial Salary Adjustment

Employing Office or Committee/Subcommittee C1 Title Change

O Termination (At close of business on effective date)

D Leave without pay (Beginning with effective date above and ending

close of business
Specify Date

(If. type of action is an Appointment,.Salary Adjustment, or Title Change, complete appropriate’ information below:)

Gross Annual Salary *

$47 , 500.80

(If Committee Employee, complete appropriate item below.)

1.0 G Stoning Committee: Staff—O] Clerical or 1 Professional.

3. C1 Joint Committee.

(if Employee of an Officer of the House, complete item below.) .

Position Number

If applicable, Level

| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of.
relatives. .

October 13 25
Date. __- 2-0-2 a 220. oa. WoW ~~ ----------- (Signavure of Authorizing Office TTT
TOULS GSEORES
{if appropriate, signoture of Subcommiltee Chaitman or Ranking Minority Member). 777777 ae era sone of AUhonning Og TTT
; Chad con
Tor eo int ame ond iitie of above olfideh FO rant onde TTT -

All appointments and salary adjustments for.employees. under the House ‘Classification Act-and for. Committee em- -
ployees, except those of the Committee. on Appropriations, the:Committee on the Budget, and. the Joint Committees, must
be approved by the Committee on House Administration.

_ APPROVED: on a ------- _

Chairman, Committee on House Administration

Office of Finance use only:

Office Code

Copy for.Initiating Office or.‘ Committee 9°

88326 FO en _
Wi:37243294 Page 4 : Co ;

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| Nw 88326 | ee

PAYROLL AUTHORIZATION FORM

.. {Please Use’ Typewriter U.S. HOUSE OF REPRESENTATIVES ©. ‘Any erasures, corrections, or changes. - 3

on this form must be initialed by the |

or Ballpoint Pen) ~ Washington, D.C. 20515 authorizing official.)

To the Clerk of the House of. Representatives:

| hereby authorize the following payroll-action:

Employee Name (First-Middle-Last) Effective Date

sary &. Cornwell _ March 1, i873

~ Employee Social Security Number foo. ___-__TypeofAction

’ (1 Appointment
SE¢Salary Adjustment

RA a

Employing Office or Committee/Subcommittee | 0 Title Change

(J Termination (At close of business on effective date)

ASS assinats

CO Leave without pay (Beginning with effective date above and ending

close of business
Specify Date

(If type of action. is.an Appointment, Salary. Adjustment, or Title Change, complete appropriate information below.):

. : Position Title Gross Annual Salary*

Deputy Chief Counsel S44,

eats Bo

+, * if employee i is.a civil service annuitant {includes U.S.. House of Representatives), the gross annual salary shown should include the annuity received: -by-the employee

plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

1.O Standing Committee: Staff—C1 Clerical or O Professional:

3. O Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number__.. If applicable, Level____.___ Step________

| certify that this authorization is not. in violation of. 5 U.S.C. -3110(b), prohibiting the employment -of
relatives. . wee a

Date__ March 14. 19_?8 -

oe : : i (Signature of Authorizing Official)

woe ee _ LOBES STOKES

(Type or print name and title of above official) (Title If Member, District and State)

. All appointments and salary adjustments for employees. under the House Classification Act and for Committee em--

-ployees, except those of the Committee on Appropriations, the. Committee on. the Budget, and the Joint Committees, must

be approved by the Committee on House Administration. .

APPROVED:

Chairman, Committee on House Administration

Office of Finance use only:

Office Code

oa


op

- To the Clerk-of the House of:Representatives: :2..- oo

. (If-GCommittee Employee, complete.appropriate:item below.). ..

PAYROLL ‘AUTHORIZATION: FORM:* Ce ed ae ne eo
. (Please-Use. Typewriters: 2 “st, Ss. “HOUSE OF REPRESENTATIVES vs. (Any. erasures, corrections,.or- changes

a ee ee ee -.. . On this form must be. initiated by. the.
_ or Ballpoint-Pen) °. - Washington, ‘DC. 20515" "authorizing official.)

-. [hereby authorize the following:payroll action:..:: © ose.

Employee Name (First-Middle- Last): wee aap “ono Effective Dates fo. ee
cary 1. Cornwell — . . _ sn
ae Employee ‘Social Security. Number Taeowe Fe oe pe ~ <cType of Action cn eth
7) 7 17S we
=] Appointment \
Employing Office or Committee. 2 | 0. Solary Adjustment Se ; |
. (] Termination (At close: of business:on effective dote) -.

Assassinations”

{IF type of action.is an Appointment. or.Salary: Adjustment, complete the following. information.):« 0.0... 080 es te

Position Title  =©=° © ©. -- |. > Gross Annual Salary

Deputy Chief Counsel

ae or a
Cis. Ae ene: Cot Seen etre

ibe Soi ia bi fat eli Ae
we :

LE. Standing Committee:.Staff —[] Clerical or-[-} Professionals: 2.0... 0

QE pb
2. (A 4 Special: or Select Committee:, Authority -H. Res #3 of 2 Congress: te ae

_

a

3. [ Joint Committee.

(If Employee of an Officer of the House, complete item below.):

Position Number___. If applicable, Level_.

Hetil i bediadwalsaitadnes ta
a

€

ool certify. that. this: authorization. is not. in violation -:of 5 USE: SMO}, prohibiting the employment. of:
relatives. .

as Reh td tnt PB

rail Stern t are tae

eR Rc

‘Sep tember 1% 5 1 of?

(Signature of Authorizing Official)

levis $ Stokes

-, All-appointments and salary adjustments for employees. under ‘the: House Classification “Act and. for. Committee em--

r

-ployees, except. those of the Committee. on Appropriations, the-Committee.on the. Budger, and-the-Joint Committees; ‘must © 2s '
be approved by the Committee on-House Administration... 0 -.: . : ;
\

\

APPROVED: _

Chairman, Committee on House Administration .

Office of Finance use only:

Office Code..

shite cies Sy eae abt si ens ais US atlas cra tet lah

Monthly Annuity $__

— : wean ae Lo meee eee Lee ee - we ee

88326 FO ee
Wi:37243294 Page 6 : 7

MEMORANDUM

TO: ALL STAFF

RE: Payroll Certification 7 _ Ce oo

| . The Regulations and Accounting. Procedures for Allowances and 4
Expenses of Committees, Members and Employees of the U.S. House of : —_ |
Representatives require that, among other things, the Committee's

A Le ee

i- monthly payroll certification include the relationship, if any, of: _
- . each employee to any current Member of Congress. This certification . |
| iS Signed monthly by our Chairman.

The following are the relationships to be included in the :
certification:

Se eee :

father oO _ nephew brother-in-law -
: mother a niece sister-in-law
| son . - . husband stepfather
daughter . . wife stepmother . |
brother . ~ father-in-law stepbrother

| sister mother-in-law stepsister
: uncle . Son-in-law half-brother
: aunt daughter-in-law half-sister
: first cousin
Piease complete the appropriate portion below, sign and date ~ ne

[

|

| this form, which will then become a part of your permanent personnel

| file. If this status changes, you must notify the Committee's Budget |
{ .

|

|

{

UF fice imnediately: of the ‘change.

f/x7 Tam not related to any current (95th Congress) Member of Congress.

(£7 1 am related to a current (95th Congress) Member of Congress.
(Please specify.) _

Fy 2G UBF
gnature of Emplo ee | | ate

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